Revenue Cycle Analyst Senior

Spectrum Health; Grand Rapids (MI); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

On-demand pay

Discounts directory

Identity protection

Retirement plan with match

Job summary

Corewell Health in Grand Rapids seeks a Revenue Cycle Specialist to coordinate chargemaster maintenance, billing optimizations, and related processes, ensuring accuracy and regulatory compliance.

You will analyze trends, support system enhancements, and collaborate with finance, IT, and care teams to improve cash flow and patient satisfaction.

Qualifications

• Required Bachelor's Degree or equivalent education and experience.
• 5 years of relevant experience in hospital billing, coding, reimbursement, information technology and finance.

Responsibilities

• Coordinate maintenance of revenue cycle business systems, chargemasters, and related processes.
• Review hospital or professional charges/fee structure, revenue cycle systems, or related processes.
• Research patient access, coding and billing requirements for new procedures or regulatory changes.
• Assist in resolving revenue cycle issues such as patient access, billing or denials.
• Develop strategies for evaluating and implementing tasks like changes to business systems, reimbursement methodologies, charge capture or efficiency.
• Collaborate with teams, task forces, and consultants; inform upper management on progress and problems.

Education

Bachelor's Degree or equivalent education and experience

Job description

Job Summary

Coordinates the maintenance of assigned departmental revenue cycle business systems, chargemasters, or other business processes, ensuring accuracy and consistency with departmental requirements and regulatory agency standards. Accountable for tasks impacting organizational cash flow, compliance, patient satisfaction and confidentiality. Monitors and trends data for assigned revenue cycle departments and tasks. Takes a lead role in the development, implementation, and project management of assigned projects / programs.

Essential Functions

Reviews and makes recommendations regarding hospital or professional charges / fee structure, revenue cycle business systems, or related processes.

Researches patient access, coding and billing requirements when new procedures or regulatory changes are introduced.

Reviews and makes recommendations regarding hospital or professional charges / fee structure, revenue cycle business systems, or related processes.

Researches patient access, coding and billing requirements when new procedures or regulatory changes are introduced.

Assists in the resolution of revenue cycle issues such as patient access, billing or denials, and develops systems to proactively address trends.

Facilitates the development of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, charge capture or revenue cycle efficiencies, working collaboratively with teams / task forces / consultants.

Assists Finance or revenue cycle department(s) in the development of financial impact scenarios and impact analysis projections.

Communicates, collaborates and acts as a consultant to others within and outside the department related to assigned tasks, in order to facilitate continuity and coordination of services.

Acts as a liaison to outside consultants and keeps upper management / revenue cycle team informed concerning progress / problems.

Assesses the educational needs of others related to area of accountability and coordinates / implements appropriate teaching strategies or makes appropriate referrals.

Evaluates resources necessary to effectively carry out Chargemaster / APC functions and makes recommendations for inclusion in budget.

Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.

Performs other duties as assigned.

Qualifications

Required Bachelor's Degree or equivalent education and experience 5 years of relevant experience in different areas of the hospital, including billing, coding, reimbursement, information technology and finance.

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities.

We are committed to cultivating and investing in YOU.

Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope.

Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

Benefits

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals.

Learn more here.

• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings

Eligibility for benefits is determined by employment type and status.

Location

Primary Location SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids

Department Name Patient Registration Admin - Corporate

Work Hours

Employment Type Full time Shift Day (United States of America)

Weekly Scheduled Hours 40

Hours of Work 8:00 a.m. - 5:30 p.m.

Days Worked Monday - Friday

Weekend Frequency N/A

Safety & Health Policies

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community.

We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category.

Equal Opportunity

We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization.

As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.

We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency.

Corewell Health Overview

Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members.

Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.